Notice2024-18192
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 15, 2024
Issuing agencies
Health and Human Services DepartmentSubstance Abuse and Mental Health Services Administration
Full Text
<html>
<head>
<title>Federal Register, Volume 89 Issue 158 (Thursday, August 15, 2024)</title>
</head>
<body><pre>
[Federal Register Volume 89, Number 158 (Thursday, August 15, 2024)]
[Notices]
[Pages 66424-66427]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-18192]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration (SAMHSA)
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, SAMHSA will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer at (240) 276-0361.
Comments are invited on: (a) whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including leveraging automated data collection techniques or other
forms of information technology.
Proposed Project: Revision to the Community Mental Health Services
Block Grant and Substance Use Prevention, Treatment, and Recovery
Services Block Grant FY 2026-2027 Plan and Report Guide (OMB No. 0930-
0168)
SAMHSA is requesting approval from the Office of Management and
Budget (OMB) for a revision of the 2026-2027 Community Mental Health
Services Block Grant (MHBG) and Substance Use Prevention, Treatment,
and Recovery Services Block Grant (SUPTRS) Application Plan and Report
Guide.
Currently, the SUPTRS BG and the MHBG differ on a number of their
practices (e.g., data collection at individual or aggregate levels) and
statutory authorities (e.g., method of calculating MOE, stakeholder
input requirements for planning, set asides for specific populations or
programs, etc.). Historically, the Centers within SAMHSA that
administer these block grants have had different approaches to
application requirements and reporting. To compound this variation,
states have different structures for accepting, planning, and
accounting for the block grants and the prevention set aside within the
SUPTRS BG. As a result, how these dollars are spent and what is known
about the services and clients that receive these funds varies by block
grant and by State.
SAMHSA has conveyed that block grant funds must be directed toward
four purposes: (1) to fund priority treatment and support services for
individuals without insurance or who cycle in and out of health
insurance coverage; (2) to fund those priority treatment and support
services not covered by Medicaid, Medicare, or private insurance
offered through the exchanges and that demonstrate success in improving
outcomes and/or supporting recovery; (3) to fund universal, selective
and indicated prevention activities and services that align with
SAMHSA's six prevention strategies; and (4) to collect performance and
outcome data to determine the ongoing effectiveness of behavioral
health prevention, treatment and recovery support services and to plan
the implementation of new services on a nationwide basis.
States will need help to meet future challenges associated with the
implementation and management of an integrated physical health, mental
health, and addiction service system. SAMHSA has established standards
and expectations that will lead to an improved system of care for
individuals with or at risk of mental and substance use disorders.
Therefore, this application package continues to fully exercise
SAMHSA's existing authority regarding states, U.S. territories, freely
associated states, and the Red Lake Band of Chippewa Indians'
(subsequently referred to as ``states'') use of block grant funds as
they fully integrate behavioral health services into the broader health
care continuum.
Consistent with previous applications, the FY 2026-2027 application
has required sections and other sections where additional information
is requested. The FY 2026-2027 application requires states to submit a
face sheet, a table of contents, a behavioral health assessment and
plan, reports of expenditures and persons served, an executive summary,
and funding agreements and certifications. In addition, SAMHSA is
requesting information on key areas that are critical to the states'
success in addressing health care equity. Therefore, as part of this
block grant planning process, states should identify promising or
effective strategies as well as technical assistance needed to
implement the strategies identified in their plans for FYs 2026 and
2027.
SAMHSA has made changes to the Block Grant Plan and Report
requirements for FFY 2026 and 2027. These changes are necessary to
ensure that funds are spent in an appropriate and timely manner.
Adjustments were made to pre-existing tables in the plan and report.
Proposed revisions for substance use disorder treatment services in
the FY 26-27 SUPTRS BG Plan and Report include revisions related to
removal of stigmatizing language, with the deletion of the term
'abuse', and replacement with the term `use', per the Consolidated
Appropriations Act, 2023. The Plan and Report also include the
universal adoption of 'Recovery Support Services' as a stand-alone
category for SUPTRS BG Plan and Report tables. These changes affect
Plan Tables 1, 2b, 4b, and 6b, and Report Tables 1, 2, 4, 6, 7.
Editorial and minor stylistic changes have been made to tables and
language. Footnotes have been revised that define the COVID-19 and ARP
Supplemental Funding expenditure periods, including the addition of
explicit instructions on the second No Cost Extension (NCE) for the
COVID-19 funding, and the expiration date for the ARP funding. Finally,
the SUPTRS BG Report Table 11c has been revised to reflect the Number
of Persons Admitted to Treatment by Sexual Orientation and Race/
Ethnicity, in a reporting format that is compatible with the format and
content of the comparable CMHS table for the MHBG.
Proposed revisions for prevention services in the FY 26-27 SUPTRS
BG Plan include those revisions that are related to a more intentional
use of language, with strengthened statements with the addition of
statistics, and added language to reinforce the interrelatedness
between mental health and substance use. There is also reinforcement of
SUPTRS BG primary prevention set-aside funds to support
[[Page 66425]]
universal, selective, and/or indicated substance use prevention
strategies.
Updated tables ensure consistency in Tables 5a-5c for both Plans
and Reports, and updated language for substances in Table 5c. The term
`abstinence' has been removed from the Prevention National Outcome
Measures (NOMs) to better reflect current terminology. Report Tables 31
and 32 have been combined into a new Report Table 31, which reduces
burden for grantees and removes redundant, obsolete reporting
requirements. Gender categories in Table 31 have been updated to align
with CSAT gender categories.
On the MHBG portion of the Plan, the changes are the addition of
one planning table--MHBG Plan Table 4a: State Agency Planned Budget for
MHBG and the addition of a new section to the Environmental Factors and
Plan section--Uniform Reporting System and Mental Client-Level Data
(MH-CLD)/Mental Health Treatment Episode Data Set (MH-TEDS). Minor
revisions were made for clarification to other sections.
On the MHBG report, the only changes are the addition of one new
table (Table 4B) and the addition of data definitions in the appendix.
The additional tables should not require excessive effort as all data
will already be collected by the states for the additional funding
efforts.
While the statutory deadlines and block grant award periods remain
unchanged, SAMHSA encourages states to turn in their application as
early as possible to allow for a full discussion and review by SAMHSA.
Applications for the MHBG-only are due no later than September 1, 2025.
The application for SUPTRS BG-only is due no later than October 1,
2025. A single application for MHBG and SUPTRS BG combined is due no
later than September 1, 2025.
Estimates of Annualized Hour Burden
The estimated annualized burden for the uniform application will
remain 33,493 hours since most revisions have been made for
clarification and the combining of tables will not change the burden.
Burden estimates are broken out in the following tables showing burden
separately for Year 1 and Year 2. Year 1 includes the estimates of
burden for the uniform application and annual reporting. Year 2
includes the estimates of burden for the recordkeeping and annual
reporting. The reporting burden remains constant for both years.
Table 1--Estimates of Application and Reporting Burden for Year 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
Authorizing Number of Number of
legislation Authorizing Implementing Number of responses per hours per Total hours
SUPTRS BG legislation MHBG regulation respondents year response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Substance Use Prevention, Treatment, and Recovery Services (SUPTRS BG) and Community Mental Health Services (MHBG) Block Grant
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting:..................... Standard Form and ................. ................. .............. .............. .............. ..............
Content.
42 U.S.C. 300x- ................. ................. .............. .............. .............. ..............
32(a).
SUPTRS BG...................... Annual Report.... ................. ................. .............. .............. .............. 11,190
42 U.S.C. 300x- ................. 45 CFR 96.122(f). 60 1 .............. ..............
52(a).
42 U.S.C. 300x-30- ................. ................. 5 1 .............. ..............
b.
42 U.S.C. 300x- ................. 45 CFR 96.134(d). 60 1 .............. ..............
30(d)(2).
MHBG........................... Annual Report.... ................. ................. .............. .............. .............. 11,003
................. 42 USC Sec. ................. 59 1 .............. ..............
300x-6(a).
................. 42 U.S.C. 300x- ................. .............. .............. .............. ..............
52(a).
................. 42 U.S.C. 300x- ................. 59 1 .............. ..............
4(b)(3)B.
State Plan ................. ................. .............. .............. .............. ..............
(Covers 2 years).
SUPTRS BG elements............. 42 U.S.C. 300x- ................. 45 CFR 60 1 .............. ..............
22(b). 96.124(c)(1).
42 U.S.C. 300x-23 ................. 45 CFR 96.126(f). 60 1 .............. ..............
42 U.S.C. 300x-27 ................. 45 CFR 96.131(f). 60 1 .............. ..............
42 U.S.C. 300x- ................. 45 CFR 96.122(g). 60 1 120 7,230
32(b).
MHBG elements.................. ................. 42 U.S.C. 300x- ................. 59 1 120 7,109
1(b).
................. 42 U.S.C. 300x- ................. 59 1 .............. ..............
1(b)(2).
................. 42 U.S.C. 300x- ................. 59 1 .............. ..............
2(a).
Waivers.......... ................. ................. .............. .............. .............. 3,240
42 U.S.C. 300x- ................. ................. 20 1 .............. ..............
24(b)(5)(B).
42 U.S.C. 300x- ................. 45 CFR 96.132(d). 5 1 .............. ..............
28(d).
42 U.S.C. 300x- ................. 45 CFR 96.134(b). 10 1 .............. ..............
30(c).
42 U.S.C. 300x- ................. ................. 1 1 .............. ..............
31(c).
[[Page 66426]]
42 U.S.C. 300x- ................. ................. 7 1 .............. ..............
32(c).
................. 42 U.S.C. 300x- ................. 10 .............. .............. ..............
32(e).
................. 42 U.S.C. 300x- ................. 10 .............. .............. ..............
2(a)(2).
................. 42 U.S.C 300x- ................. 10 .............. .............. ..............
4(b)(3).
................. 42 U.S.C 300x- ................. 7 .............. .............. ..............
6(b).
Recordkeeping.................. 42 U.S.C. 300x-23 42 U.S.C. 300x-3. 45 CFR 96.126(c). 60/59 1 20 1,200
42 U.S.C. 300x-25 ................. 45 CFR 10 1 20 200
96.129(a)(13).
42 U.S.C 300x-65. ................. 42 CFR Part 54... 60 1 20 1,200
---------------------------------------------------------------
Combined Burden............ ................. ................. ................. .............. .............. .............. 42,373
--------------------------------------------------------------------------------------------------------------------------------------------------------
Report
300x-52(a)--Requirement of Reports and Audits by States--Report
300x-30(b)--Maintenance of Effort (MOE) Regarding State Expenditures--
Exclusion of Certain Funds (SUPTRS BG)
300x-30(d)(2)--MOE--Noncompliance--Submission of Information to
Secretary (SUPTRS BG)
State Plan--SUPTRS BG
300x-22(b)--Allocations for Women
300x-23--Intravenous Substance Abuse
300x-27--Priority in Admissions to Treatment
300x-29--Statewide Assessment of Need
300x-32(b)--State Plan
State Plan--MHBG
42 U.S.C. 300x-1(b)--Criteria for Plan
42 U.S.C. 300x-1(b)(2)--State Plan for Comprehensive Community Mental
Health Services for Certain Individuals--Criteria for Plan--Mental
Health System Data and Epidemiology
42 U.S.C. 300x-2(a)--Certain Agreements--Allocations for Systems
Integrated Services for Children
Waivers--SUPTRS BG
300x-24(b)(5)(B)--Human Immunodeficiency Virus--Requirement regarding
Rural Areas
300x-28(d)--Additional Agreements
300x-30(c)--MOE
300x-31(c)--Restrictions on Expenditure of Grant--Waiver Regarding
Construction of Facilities
300x-32(c)--Certain Territories
300x-32(e)--Waiver amendment for 1922, 1923, 1924 and 1927
Waivers--MHBG
300x-2(a)(2)--Allocations for Systems Integrated Services for Children
300x-6(b)--Waiver for Certain Territories
Recordkeeping
300x-23--Waiting list
300x-25--Group Homes for Persons in Recovery from Substance Use
Disorders
300x-65--Charitable Choice
Table 2--Estimates of Application and Reporting Burden for Year 2
----------------------------------------------------------------------------------------------------------------
Number of Number of
Number of responses per hours per Total hours
respondent year response
----------------------------------------------------------------------------------------------------------------
Reporting:
SUPTRS BG................................... 60 1 187 11,220
MHBG........................................ 59 1 187 11,033
Recordkeeping................................... 60/59 1 40 2,360
---------------------------------------------------------------
Combined Burden......................... .............. .............. .............. 24,613
----------------------------------------------------------------------------------------------------------------
The total annualized burden for the application and reporting is
33,493 hours (42,373 + 24,613 = 66,986/2 years = 33,493).
Link for the application: <a href="http://www.samhsa.gov/grants/block-grants">http://www.samhsa.gov/grants/block-grants</a>.
[[Page 66427]]
Send comments to SAMHSA Reports Clearance Officer, 5600 Fisher
Lane, Room 15E45, Rockville, MD 20852 OR email him a copy at
<a href="/cdn-cgi/l/email-protection#d3a0b2bebba0b2a3a1b293a0b2bebba0b2fdbbbba0fdb4bca5"><span class="__cf_email__" data-cfemail="1a697b7772697b6a687b5a697b7772697b34727269347d756c">[email protected]</span></a>. Written comments should be received by
October 15, 2024.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-18192 Filed 8-14-24; 8:45 am]
BILLING CODE 4162-20-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on August 15, 2024.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.